Statutory Instrument 1999 No. 748 (S. 52)

      The National Health Service (Optical Charges and Payments) (Scotland) Amendment Regulations 1999


      © Crown Copyright 1999

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STATUTORY INSTRUMENTS


1999 No. 748 (S. 52)

NATIONAL HEALTH SERVICE, SCOTLAND

The National Health Service (Optical Charges and Payments) (Scotland) Amendment Regulations 1999

  Made 9th March 1999 
  Laid before Parliament 11th March 1999 
  Coming into force 1st April 1999 

The Secretary of State, in exercise of the powers conferred on him by sections 26, 70(1), 73(a), 74(a), 105 and 108(1) of, and paragraphs 2 and 2A of Schedule 11 to, the National Health Service (Scotland) Act 1978[1] and of all other powers enabling him in that behalf, hereby makes the following Regulations:

Citation and commencement
     1. These Regulations may be cited as the National Health Service (Optical Charges and Payments) (Scotland) Amendment Regulations 1999 and shall come into force on 1st April 1999.

Amendment of the National Health Service (Optical Charges and Payments) (Scotland) Regulations 1998
    
2. The National Health Service (Optical Charges and Payments) (Scotland) Regulations 1998[2] shall be amended in accordance with the following provisions of these Regulations.

Amendment of regulation 1
     3. In regulation 1 (interpretation)-

    (a) in paragraph (2)-

      (i) after the definition of "the Act" there is inserted-

      " "the Agency" means the Common Services Agency for the Scottish Health Service constituted under section 10 of the Act;";

      (ii) in the definition of "NHS sight test fee"-

        (a) in sub-paragraph (a) for "£39.04" there is substituted "£40.33"; and

        (b) in sub-paragraph (b) for "£14.10" there is substituted "£14.57";

      (iii) for the definition of "responsibility authority" there is substituted-

      " "responsible authority" means-

      (a) in relation to a voucher completed or a payment made pursuant to Part III, the Health Board for the area in which the testing of sight took place, except for regulation 5 and 6 where it means the Agency;

      (b) in relation to a voucher issued or completed pursuant to Part IV, otherwise than by an NHS trust, the Health Board for the area in which the supply of the optical appliance took place, except for regulation 13 where it means the Agency;

      (c) in relation to a voucher issued pursuant to regulation 10 or completed pursuant to regulation 16 by an NHS trust, the Health Board in whose area the patient resides;

      (d) in relation to a voucher issued or completed pursuant to Part V, otherwise than by an NHS trust, the Health Board for the area in which the replacement or repair of the optical appliance took place except for regulation 15(1)(b) and (2), 16(6) and 18 where it means the Agency;

      (e) in relation to a payment made pursuant to Part VI, otherwise than by an NHS trust, the Health Board for the area in which the supply, replacement or repair of the optical appliance to which it relates took place except for regulation 20(3), (4, (5), (6) and (7) where it means the Agency;

      (f) in relation to a payment made pursuant to regulation 20 by an NHS trust, the Health Board in whose area the patient resides;";

      (iv) for the definition of "small glasses" there is substituted-

      " "small glasses" means glasses-

      (a) prescribed for a child who is under the age of 7 years at the date of issue of a voucher relating to those glasses where the voucher is issued on the same occasion as the prescription relating to those glasses is issued;

      (b) having a frame which is either custom made or a stock frame requiring extensive adaptation to ensure an adequate fit; and

      (c) having a boxed centre distance of no more than 55 millimetres, and for this purpose "box centre" is to be construed in accordance with Part 1 of British Standard 3521/91 (Terms relating to ophthalmic optics and spectacle frames) published by the British Standards Institution as effective immediately before 9th March 1999;";

    (b) in sub-paragraph (b) of paragraph (3), before the word "where" there is inserted "subject to sub-paragraph (bb),";

    (c) after sub-paragraph (b) of paragraph (3), there is inserted-

      " (bb) where an optical appliance has a bifocal lens, the reading segment of which is more than 4 dioptres more powerful than the distance segment, the power of the lens shall be determined according to the power of the reading segment; and";

    (d) after paragraph (3) there is inserted the following new paragraph-

        " (3A) A reference to "the Agency" in these Regulations includes a reference to the Agency acting on behalf of the Board.".

Amendment of regulation 8
    
4. In regulation 8 (eligibility - supply of optical appliances) in paragraph (2) after the words "at the time of" there is inserted "the payment for".

Amendment of regulation 9
    
5. In regulation 9 (issue of vouchers by ophthalmic medical practitioners and opticians)-

Amendment of regulation 11
    
6. For regulation 11 (issue of replacement vouchers by Health Boards or NHS Trusts) there is substituted-

Amendment of regulation 12
    
7. In regulation 12 (use of vouchers for the supply of optical appliances), in paragraph (1) for the words "six months" there is substituted "2 years".

Amendment of regulation 13
    
8. In regulation 13 (payments to suppliers), in paragraph 2(b) for "21(1)" there is substituted "27(1)".

Amendment of regulation 19
    
9. In regulation 19 (redemption value of voucher for replacement or repair)-

Amendment of regulation 20
    
10. In regulation 20 (payments to patients in respect of the supply, replacement or repair of optical appliances)-

Amendment of regulation 22
    
11. In regulation 22 (signatures and claims for payments) for paragraph (c)(i) there is substituted-

Amendment of the Schedules to the Regulations
     12.  - (1) For Schedule 1 (voucher letter codes and face values - supply and replacement), there is substituted the Schedule 1 set out in Part I of the Schedule to these Regulations.

    (2) For Schedule 2 (voucher values - repair) there is substituted the Schedule 2 set out in Part II of the Schedule to these Regulations.

    (3) In Schedule 3 (prism, tints, photochromic lenses, small glasses and special frames and complex appliances)-

Revocations
    
13. In paragraph 1 of Schedule 3-


Sam Galbraith
Minister for Health, Scottish Office

St Andrew's House, Edinburgh
9th March 1999



SCHEDULE
Regulations 12(1) and (2)



PART I

SCHEDULE 1 AS SUBSTITUTED BY THESE REGULATIONS








PART II

SCHEDULE 2 AS SUBSTITUTED BY THESE REGULATIONS








EXPLANATORY NOTE

(This note is not part of the Regulations)


These Regulations amend the National Health Service (Optical Charges and Payments) (Scotland) Regulations 1998 ("the principal Regulations"), which provide for payments to be made by means of a voucher system in respect of costs incurred by certain categories of persons in connection with the supply, replacement and repair of optical appliances.

Regulation 3 inserts a new definition of "the Agency" and substitutes a new definition of "small glasses" in regulation 2(1) of the principal Regulations. It also inserts a new regulation 1(3)(bb) to provide that, for the purposes of Schedule 1 to the principal Regulations, where an optical appliance has a bifocal lens, the reading segment of which is more powerful than the distance segment, the power of the lens is determined by reference to the power of the reading segment.

Regulation 3 also amends the definition of "NHS sight test fee". This fee is set at two levels depending on whether the sight test was carried out at the patient's home or not, and the appropriate figure is used to calculate the value of assistance towards the cost of a private sight test.

The two levels of NHS sight test fee are raised by regulation 3 as follows-

    (a) the figures used where the sight test was carried out at the patient's home is raised from £39.04 to £40.33, which represents an increase of 3.3%; and

    (b) the figure used in all other cases is increased from £14.10 to £14.57, which represents an increase of 3.3%.

Regulation 4 amends regulation 8(2) of the principal Regulations to provide that a person's status as an eligible person is determined by reference to the time when he pays for the supply of an optical appliance.

Regulation 5 inserts new paragraphs (1A) and (1B) in regulation 9 of the principal Regulations. These paragraphs set out the circumstances in which an ophthalmic medical practitioner or optician may issue a voucher to a patient who has had a recent sight test without needing to re-test his sight. The regulation also substitutes a reference to the Agency for the reference to a Health Board in relation to the authorisation of vouchers in the case of non-tolerance.

Regulation 6 substitutes a new regulation 11 which increases to 2 years the period during which a patient may apply for a replacement voucher and provides for the Agency, a Health Board or NHS trust to authorise the issue of a replacement voucher rather than itself issuing the replacement.

Regulation 7 increases to 2 years the period during which a patient may present a voucher to a supplier of optical appliances.

Regulation 9 amends regulation 19 of the principal regulations by uprating redemption values of vouchers for replacement or repair.

Regulation 10 amends regulation 20 of the principal Regulations. The regulation amends regulation 20(3) to provide that a claim for payment under regulation 20 must be made by a patient within 3 months after the date on which he paid for the supply, replacement or repair of the optical appliance in respect of which he makes the claim. Regulation 10 also inserts a new paragraph (3A) which provides that a patient who pays by instalments for the supply, replacement or repair of an appliance and who makes a claim under regulation 20(2) must make that claim within 3 months of the payment of the first instalment. A new paragraph (7) is also inserted which provides that the responsible authority must make a payment to the patient in respect of his claim no earlier than the date on which the total value of the instalments paid is at least equivalent to the value of the voucher to which he would have been entitled.

Regulation 12(1) and Part I of the Schedule substitute a new Schedule 1 in the principal Regulations. Regulation 12(2) and Part II of the Schedule substitutes a new Schedule 2 in the principal Regulations and regulation 12(3) amends Schedule 3 to the principal Regulations.

Regulation 13 revokes the provision in Schedule 3 to the principal Regulations concerning the issue or completion by NHS trusts of vouchers in respect of photochromic lenses.


Notes:

[1] 1978 c.29; section 26 was amended by the Health and Social Security Act 1984 (c.48) ("the 1984 Act"), section 1(5) and Schedule 1, Part II paragraphs 1 to 4 and Schedule 8 and by the Health and Medicines Act 1988 (c.49) ("the 1988 Act"), section 13(4); section 70(1) was amended by the 1988 Act, Schedule 3; section 105, which contains provisions relevant to the making of regulations, was amended by the Health Service Act 1980 (c.53), Schedule 6, paragraph 5; section 108(1) contains definitions of "prescribed" and "regulations" relevant to the exercise of the statutory powers under which these Regulations are made; paragraph 2(1) of Schedule 11 was substituted by the 1988 Act, Schedule 2, paragraph 15(1); and paragraph 2A of Schedule 11 was inserted by the 1984 Act, Schedule 1, Part II, paragraph 7 and amended by the 1988 Act, section 13(2) and (5).back

[2] S.I. 1998/642.back

[3] 1995 c.36.back



ISBN 0 11 055992 4


 
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